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General NPI Number Information
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NPI Number | 1073569380
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Entity Type | Organization
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Legal Business Name | DIABETES CARE & EDUCATION INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 10101 LINN STATION RD SUITE 525
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City | LOUISVILLE
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State | KY
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Zip | 40223-3848
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Country | US
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Telephone | 502-426-4842
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Fax | 502-426-4841
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Provider Business Mailing Address
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Address Line | 13621 NW 12TH ST SUITE 100
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City | SUNRISE
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State | FL
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Zip | 33323-2836
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Country | US
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Telephone | 954-903-5000
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Fax | 954-903-5290
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Authorized Official
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Title or Position | CEO
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Name | MR. GLENN M PARKER
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Credential | MD
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Telephone | 954-903-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 069584
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License Number State | KY
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